Beyond the Balance Sheet: How CPAs Can Make Mental Health a Shared Priority
Prioritizing mental health is a shared commitment that must be embraced by both CPAs and firm leaders.
By Randy Crabtree, CPA | Spring 2026

Are you just going through the motions at work? Have you become more apathetic and cynical about your career,
relationships, or life in general? Do you find yourself increasingly
impatient, anxious, or prone to anger? If so, you’re not alone. These
are common symptoms of chronic stress and burnout, which are
increasingly impacting white-collar workers, especially those in the
accounting profession.
If left unchecked, chronic stress and burnout can also lead to
physical symptoms, including brain fog, constant fatigue (no
matter how much sleep you get), difficulty falling or staying asleep,
frequent headaches, migraines, muscle tension, jaw clenching,
digestive issues, loss of appetite, and more.
To properly address these issues, it’s important to recognize that
chronic stress and burnout aren’t the same. While stress often
involves feeling overwhelmed by many pressures simultaneously,
burnout is characterized by feelings of depleted energy, reduced
professional efficacy, increased mental distance from one’s job,
or feelings of negativism or cynicism of one’s job, according to
the World Health Organization.
As an example, my former Big Four supervisor shared his
experience with burnout before starting his own firm. Like many
certified public accountants (CPAs), he worked a ton of overtime,
often logging over 80 hours per week and 3,500 hours per year.
“I remember many times coming home just long enough to take a
shower and get fresh clothes on before going back to the office,”
he confides. “Other times I’d come home after a long day and
would just sit in my room and watch TV until my family would find
me passed out on the bed still in my work clothes.”
THE PERSISTENCE OF BURNOUT IN THE PROFESSION
Numerous studies give insight into my former supervisor’s
experience of working in public accounting. A 2023 study by
the AICPA, in collaboration with PwC, found 51% of accounting
and finance team leaders feel symptoms of professional burnout.
Additionally, a 2022 study by FloQast and the University of Georgia
found nearly all (99%) surveyed accountants are suffering from burnout, with more than half (53%) experiencing those symptoms
at or above the average level. In fact, 24% of respondents from that
survey admitted to medium-high or high levels of burnout.
As CPAs, we must juggle tight deadlines, complex financial
regulations, and intense scrutiny from clients and authorities. The
pressure to be precise and error-free is immense, since even
small mistakes can have serious financial or legal consequences.
Further, many of us are drawn to the profession because we want
to help people and always be available for them. That often means
sacrificing our own welfare.
What’s more disturbing is that these chronic overwork conditions
are pretty much accepted by our colleagues. According to my
firm’s—Tri-Merit Specialty Tax Professionals—annual career
satisfaction survey, nearly one-third (30%) of respondents routinely
work 60-plus hours per week during busy season. Yet, only 7%
believe they’re working longer hours than their peers and only 14%
think their jobs are more stressful than the average CPA’s. Ouch!
MY PERSONAL BATTLE WITH STRESS AND MENTAL HEALTH
I too have suffered from the burnout culture that persists in
the profession.
When I co-founded Tri-Merit in 2007, it was exhilarating to watch
our firm grow so quickly. It was rewarding to see how word got
out about our flexible hours, work-from-anywhere culture, and “no
a-holes” hiring policy. But I was burning the candle at both ends
trying to be the firm’s managing partner and chief rainmaker. For
years, I toughed it out. That was until I had two strokes four days
apart in 2014. I was 51 years old.
Physically, I recovered quickly, but I suffered from post-traumatic
stress disorder, panic attacks, depression, and feelings of
hopelessness for the next five years. Eventually, I got the help I
needed, and I stepped aside from the firm’s day-to-day operations
to focus on being an “industry evangelizer” about specialty tax
credits and mental health.
WHAT CAN WE DO?
One of the upsides of addressing my mental health challenges is that
I’ve gained so much knowledge about the tools that can help others.
The best thing firm leaders can do, no matter the firm’s size, is
make mental health resources readily available to all employees—
and remove the stigma around accessing them. Resources could
include employee assistance programs, access to counseling
services, or allowing employees to take “mental health days”
without fear of judgment or loss of vacation days.
Every year, our firm’s career satisfaction survey finds that CPAs who
work at firms with readily available mental health resources are
significantly more likely (most recently, at least 8 percentage points
higher) to feel highly satisfied in their careers compared to CPAs
working at firms without access to those resources.
In addition to resources, applying these simple stress-reduction
techniques can help:
- Disconnect at the end of the day. As Brian Kush, CPA,
recommended on my podcast, “The Unique CPA,” accounting
professionals should “bookmark” their work at the end of the
day rather than rushing to get it all done before heading home.
Instead, he suggested creating an “instead plan,” which means
intentionally planning activities that have nothing to do with work
to avoid getting sucked into work during off hours.
- Set clear boundaries between work and personal time. This
is especially important for remote workers. Don’t respond to
emails, text messages, or voicemails during your personal time—
doing so sets the precedent that you’re always on call. Tri-Merit’s
career satisfaction survey found that nearly 70% of CPAs who’ve
clearly defined boundaries between work and personal time are
highly satisfied in their careers compared to just 31% of CPAs
whose work and personal boundaries are blurred.
- Improve your time management. Don’t try to tackle everything
on your to-do list. Instead, identify three top priorities for the day
to focus on. Let everything else go until you’ve tackled your top
three priorities.
- Take frequent breaks. Various research suggests your ability to
“focus” may be limited to no more than four to five hours per day.
Your brain needs frequent rest.
- Improve self-care. Don’t sit at your desk all day (and that includes
for meals). Eat right, get plenty of exercise, rest, meditate, and go
for walks (leaving the phone behind).
- Celebrate hobbies and passions outside of work. Make sure
each team member’s hobbies and passions are widely known
to colleagues (consider including them in their bios on the firm’s
website). Tri-Merit’s career satisfaction survey found that nearly
two-thirds (65%) of respondents who work at firms where their
outside passions and interests are widely known to colleagues
are highly satisfied in their careers compared to less than one-third
(31%) of respondents working at firms where few details
about their outside interests are shared.
Another tactic is to track self-care activities versus mental health
liabilities, thinking of them from a positive and negative perspective.
For example:
- Self-care activities are the things you’re doing right—the
positives (i.e., exercising, unplugging after work, taking breaks
during the workday, and enjoying personal hobbies).
- Mental health liabilities are the things that need improvement—
the negatives (i.e., taking calls during weekends, not spending
enough time outdoors, and dealing with stressful clients).
Create a balance sheet that separates both into two separate
columns. Next, add up your self-care activities and your mental
health liabilities. From there, subtract self-care activities from mental
health liabilities to determine your net retained energy score. If
you or someone on your team has a negative net retained energy
score, especially a deficit of three or more, they may be at risk of
burnout and mental health challenges. Don’t let this go ignored.
Despite the long hours and occasional high stress, the accounting
profession has always been a supportive community—someone is
always a phone call, text message, or email away.
As a profession, it’s important that we—CPAs and CPA firm leaders—
share the responsibility of prioritizing a culture that encourages
employees to ask for help. From my experience, doing so creates
happier, healthier employees that are more likely to stay, be highly
productive, and refer others to your firm—and your clients will
notice too.
Randy Crabtree, CPA, is the co-founder and partner of Tri-Merit
Specialty Tax Professionals. He’s also an author, lecturer, and host
of “The Unique CPA” podcast.